Provider Demographics
NPI:1093798449
Name:KAPLAN, MARTIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-1686
Mailing Address - Country:US
Mailing Address - Phone:781-341-0320
Mailing Address - Fax:781-297-7762
Practice Address - Street 1:1613 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1686
Practice Address - Country:US
Practice Address - Phone:781-341-0320
Practice Address - Fax:781-297-7762
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA135271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry